Tennessee › Rutherford County › Smyrna
The Waters of Smyrna, LLC
202 Enon Springs Road East, Smyrna, TN 37167
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Waters of Smyrna, LLC is a For-profit, limited liability company nursing home in Smyrna, Tennessee, certified for 91 beds and caring for about 68 residents a day.
CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (17, 3, 16 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 39.6 per 100 beds, more than the state median of 12.2.
CMS lists 2 penalties in the period covered: fines totalling $98K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Tennessee median of 3.6; nursing staff turnover is 69.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Rutherford Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 21 | 13 | 28.7 |
| Citations per 100 beds | 39.6 | 23.5 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.0 | 4.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 69.3% | 57.4% | 50.0% | 45.8% |
| Fines listed | $97,773 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Aug 2022, 7 Aug 2019.
Severity mix: J ×1 K ×2 D ×25 E ×3 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 24 Jun 2024 |
| 21 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 24 Jun 2024 |
| 21 Jun 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | Complaint investigation | 24 Jun 2024 |
| 21 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 9 Jul 2024 |
| 21 Jun 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Complaint investigation | 9 Jul 2024 |
| 21 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 8 Jul 2024 |
| 21 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 9 Jul 2024 |
| 21 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 9 Jul 2024 |
| 21 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Jul 2024 |
| 21 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jul 2024 |
| 15 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Complaint investigation | 7 Sep 2023 |
| 10 Aug 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 Aug 2022 |
| 10 Aug 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Aug 2022 |
| 7 Aug 2019 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 2 Sep 2019 |
| 7 Aug 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Sep 2019 |
| 7 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Sep 2019 |
| 13 Jun 2018 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 28 Jul 2018 |
| 13 Jun 2018 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Jul 2018 |
| 13 Jun 2018 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 28 Jul 2018 |
| 13 Jun 2018 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 28 Jul 2018 |
| 13 Jun 2018 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 28 Jul 2018 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Jun 2024 | Payment denial | — | 12 days |
| 21 Jun 2024 | Fine | $97,773 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 69.3%, RNs 66.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.6% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.2% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Chain: Infinity Healthcare Consulting (69 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gubin Enterprises Limited Partnership | 5% or greater direct ownership interest | 50% | 08/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rutherford County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Nhc Healthcare, Murfreesboro | Murfreesboro | 181 | 5 | 5 | 3 | 7 | 3.9 | — | 2 Aug 2024 |
| Stones River Manor, Inc | Murfreesboro | 30 | 5 | 4 | 5 | 15 | 50.0 | — | 1 Jul 2025 |
| Adamsplace, LLC | Murfreesboro | 40 | 3 | 2 | 4 | 9 | 22.5 | — | 17 Dec 2025 |
| Stone River Post Acute | Murfreesboro | 68 | 3 | 3 | 3 | 16 | 23.5 | — | 4 Dec 2025 |
| Community Care of Rutherford | Murfreesboro | 131 | 1 | 1 | 1 | 21 | 16.0 | — | 27 Jun 2026 |
| Smyrna Care Center | Smyrna | 125 | 1 | 1 | 2 | 30 | 24.0 | $175K | 27 Apr 2026 |
| Tennessee Veterans Home | Murfreesboro | 140 | 1 | 1 | 4 | 23 | 16.4 | $193K | 6 May 2026 |
All 8 facilities in Rutherford County
Questions and answers
How many deficiencies has The Waters of Smyrna, LLC been cited for?
36 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has The Waters of Smyrna, LLC been fined?
Yes. CMS lists fines totalling $98K in the period covered, plus 1 payment denial.
How does staffing at The Waters of Smyrna, LLC compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates The Waters of Smyrna, LLC?
It is part of the Infinity Healthcare Consulting chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Gubin Enterprises Limited Partnership. Individual owners and managers are not listed on this site.
When was The Waters of Smyrna, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jun 2024; the most recent standard health survey was 10 Aug 2022.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.